Discharge Care Manager RN - Telecommute in NJ, PA, IN or IL Only

Company: UnitedHealth Group
Location: San Jose
Posted on: June 26, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing -your life's best work.(sm) Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. - As a Discharge Care Manager at UnitedHealth Group, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. The Discharge Care Manager (DCM) will coordinate and document the discharge plan in collaboration with other key clinical care team members. The DCM will also follow the member while in the acute inpatient setting. If you are located in the Eastern Time Zone, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:

• Evaluation of member discharge needs including delays in care and readmission prevention plan
• Collaboration with providers and members to coordinate care post discharge
• Participate in rounds with the Medical Director to discuss cases as needed
• Identification of internal or community-based program support or resources
• Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged
• Assist with coordination of difficult cases needing placement in an alternate level of care facility
• Documentation of discharge activities as outlined in standard operating procedures and data entry strategies
• Participate in team meetings, education discussions and related activities
• Works collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - - - - -
  • Bachelor of Science in Nursing -
  • Current, unrestricted RN license in the state of Residence
  • 3+ years of recent experience in the inpatient acute setting
  • 3+ years of experience of discharge planning
  • Proficient in typing skills and software applications that includes, but is not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook
  • Experience working with multiple health insurance products (i.e. Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements Preferred Qualifications: - - - - -
    • Case management certification
    • InterQual/MCG Guidelines or other nationally recognized practice guidelines
    • Bilingual
    • Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets
    • Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
    • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
    • Ability to build and maintain relationships will be essential
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do -your life's best work.(sm) Colorado, Connecticut or Nevada Residents Only: -The salary range for Colorado residents is $54,400 to $97,000. The salary range for Connecticut / Nevada residents is $60,000 to $106,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, San Jose , Discharge Care Manager RN - Telecommute in NJ, PA, IN or IL Only, Healthcare , San Jose, California